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Contact Information

PENN STATE HEALTH MEDICAL GROUP, LLC
429 N 21ST ST
CAMP HILL, PA17011-2202
 Phone: 717-761-7244
 Fax: 717-761-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Bariatric Medicine

207RB0002X 11 Physician/Internal Medicine
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PENN STATE HEALTH MEDICAL GROUP, LLC

NPI Number 1922771534
LBN Legal business name PENN STATE HEALTH MEDICAL GROUP, LLC
Authorized official TRACY MOYER-SWINKO - (VP/CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/29/2021
Last updated 02/03/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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